Warranty Registration Form
 
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  USER INFORMATION:  
 
*Name: *Email:
  Company: *Address:
*City: *State: *Zip:
*Country: Phone: Fax:
           
 
  SYSTEM INFORMATION:  
 
*Model Number: ?    
*Serial Number: ? *Date of Purchase:
  RAM (MB): Hard Disk Capacity (GB):
*Dealer Name:
  Other Installed Equipment (modem, fax, mouse, etc.):
  
     
 
  Please take a moment to fill in the following questions. This will help us to serve you better in the future.  
 
1.) How did you first learn about GammaTech?
  Other:
2.) This computer will primarily be used for:
  Other:
3.) What 3 factors most influenced the purchase of this product?
For multiple selections, hold down the Ctrl-Key (PC) while clicking the desired selections.
  Other:
4.) Sex:
Male Female        
5.) Age:
 
6.) What is your favorite magazine categories:
For multiple selections, hold down the Ctrl-Key (PC) while clicking the desired selections.
  Other:
7.) Select your job Category:
 
8.) Did you receive this system as a gift?
Yes No        
9.) Would you like to receive any future product information / Survey and company news?
Yes No        
Your comments are very important to us. If you have any questions or comments about your system, GammaTech, or any aspect of computing, please list them below: (max. 500 char.)